Transcatheter aortic valve replacement in failed surgical valves

Transcatheter aortic valve replacement in failed surgical valves

Aortic valve-in-valve is a less invasive alternative to surgical redo in the treatment of failed bioprosthetic valves. While only inoperable patients underwent the procedure before, operators currently offer it to those at lower risk and worldwide experience is in the thousands. Early mortality has...

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Veröffentlicht in:Heart (British Cardiac Society) 2019-03, Vol.105 (Suppl 2), p.s38-s43
Hauptverfasser: Simonato, Matheus, Dvir, Danny
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Sprache:eng
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Clinical outcomes
Comorbidity
Heart
Mortality
Patients
Thrombosis
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creator Simonato, Matheus
Dvir, Danny
description Aortic valve-in-valve is a less invasive alternative to surgical redo in the treatment of failed bioprosthetic valves. While only inoperable patients underwent the procedure before, operators currently offer it to those at lower risk and worldwide experience is in the thousands. Early mortality has diminished in recent analyses and improvements in symptoms and quality of life have been documented. Main considerations with aortic valve-in-valve include elevated postprocedural gradients, coronary obstruction and leaflet thrombosis. Risk factors for each of these adverse events have been described at length. Aortic valve-in-valve offers a safe and effective option in the management of failed bioprosthetic valves.
doi_str_mv 10.1136/heartjnl-2018-313517
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subjects Clinical outcomes
Comorbidity
Heart
Mortality
Patients
Thrombosis
title Transcatheter aortic valve replacement in failed surgical valves
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